H32-19604-07137
3 vaccinations
1 coded response
15 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 054 / VT
- Registered
- 2021-11-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-19
Dose 1 — Pfizer-BioNTech
-
2021-01-08
Dose 2 — Pfizer-BioNTech
-
2021-11-23
Registered in v-safe
-
2021-11-23
Dose 3 — Moderna
- 2021-11-23
-
2021-11-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-25
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body achesAdult check-in
-
2021-11-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · HeadacheAdult check-in
-
2021-11-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-11-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-11-29
- 2021-12-01
- 2021-12-07
- 2021-12-14
- 2021-12-28
- 2022-01-05
- 2022-02-22
- 2022-05-26
-
2022-11-23
Survey response — 12 months, dose 3MedDRA: Cough, Delivery, Dyspnoea, Office visit, Pain, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, HospitalizationFree text: Cough x 6 weeks, fever and body aches x 2 days, mild to moderate shortness of breath x 2 weeks-requiring frequent albuterol prescribed at outpatient visit Delivery of a child with 24 hr hospitalizationMedDRA releases: 2024-11 · check-in free text available
-
2022-11-23
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
- 2022-11-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-19 | Pfizer-BioNTech | No |
| 2 | 2021-01-08 | Pfizer-BioNTech | No |
| 3 | 2021-11-23 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 — 12 months, dose 3
Symptoms: Cough x 6 weeks, fever and body aches x 2 days, mild to moderate shortness of breath x 2 weeks-requiring frequent albuterol prescribed at outpatient visit Delivery of a child with 24 hr hospitalization
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Cough | · | · | ✓ |
| SD | Delivery | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release